Unilateral congenital upper eyelid eversion: A rare presentation in a neonate

Area of Science:

• Ophthalmology
• Neonatology
• Pediatric Surgery

Background:

• Congenital upper eyelid eversion (CUEE) is a rare condition.
• It typically presents bilaterally and is associated with anatomical factors or birth trauma.
• Unilateral CUEE is exceptionally uncommon.

Purpose of the Study:

• To report a rare case of unilateral congenital upper eyelid eversion in a neonate.
• To describe the clinical presentation and management of this condition.
• To highlight the importance of early diagnosis and conservative treatment.

Main Methods:

• Case report of a male newborn with unilateral CUEE.
• Clinical examination including ophthalmic assessment.
• Conservative management including saline irrigation, antibiotic/antiseptic drops, and sterile compresses.

Main Results:

• The neonate presented with unilateral CUEE, severe chemosis, caput succedaneum, and bilateral clubfoot.
• Conservative management resulted in complete resolution of the CUEE within five days.
• The case underscores the successful application of non-surgical interventions.

Conclusions:

• Unilateral CUEE can occur alongside other congenital anomalies like clubfoot.
• Early diagnosis and prompt conservative management are crucial for favorable outcomes.
• Further investigation into potential genetic factors underlying CUEE is warranted.